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North Carolina rates for HCPCS 61640

Balloon dilatation of intracranial vasospasm, percutaneous; initial vessel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.25 / $753.18 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.25 / $474.25 / $778.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.04 / $1,055.50 / $1,436.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.79 / $978.74 / $1,592.01
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.25 / $868.71 / $1,288.77
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.29 / $825.29 / $825.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.40 / $781.40 / $781.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,906.00 / $6,388.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.62 / $771.47 / $1,358.92
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $4,758.16 / $5,815.70
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,999.78 / $5,999.78 / $5,999.78